Non-rigid deformation to include subject-specific detail in musculoskeletal models of CP children with proximal femoral deformity and its effect on muscle and contact forces during gait

Abstract

To account for proximal femoral deformities in children with cerebral palsy (CP), subject-specific musculoskeletal models are needed. Non-rigid deformation (NRD) deforms generic onto personalized bone geometry and thereby transforms the muscle points. The goal of this study was to determine to what extent the models and simulation outcomes in CP patients differ when including subject-specific detail using NRD or Magnetic Resonance Imaging (MRI)-based models. The NRD models slightly overestimated hip contact forces compared to MRI models and differences in muscle point positions and moment arm lengths (MALs) remained, although differences were smaller than for the generic model.

Keywords:

• Subject-specific
• MRI
• non-rigid deformation
• musculoskeletal modelling

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by KU Leuven’s Research Council under Grant IDO/07/012; Research Foundation Flanders (FWO) under Grant G.0395.09; Flanders Innovation and Entrepreneurship (IWT-TBM) under Grant 3M140540.